nuclear regulatory commission [docket no ...2019-003) related to afrri. based on the evidence...

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[7590-01-P] NUCLEAR REGULATORY COMMISSION [Docket No. 05000170; NRC-2020-0258] In the Matter of Armed Forces Radiobiology Research Institute AGENCY: Nuclear Regulatory Commission. ACTION: Confirmatory order; issuance. SUMMARY: The U.S. Nuclear Regulatory Commission (NRC) is issuing an Order confirming commitments agreed upon during an Alternate Dispute Resolution mediation session with the Armed Forces Radiobiology Research Institute (AFRRI). The NRC determined that an apparent violation of NRC regulations, occurred as identified during an investigation completed on February 27, 2020, by the NRC’s Office of Investigations. The Order is effective on the date of issuance. DATES: The Confirmatory Order became effective on November 19, 2020. ADDRESSES: Please refer to Docket ID NRC-2020-0258 when contacting the NRC about the availability of information regarding this document. You may obtain publicly available information related to this document using any of the following methods: Federal Rulemaking Web Site: Go to https://www.regulations.gov and search for Docket ID NRC-2020-0258. Address questions about Docket IDs in Regulations.gov to Jennifer Borges; telephone: 301-287-9127; e-mail: [email protected]. For technical questions, contact the individual listed in the FOR FURTHER INFORMATION CONTACT section of this document. NRC’s Agencywide Documents Access and Management System (ADAMS): You may obtain publicly available documents online in the ADAMS Public Documents collection at https://www.nrc.gov/reading-rm/adams.html. To begin the search, select “Begin Web-based ADAMS Search.” For problems with ADAMS, please contact the NRC’s Public Document Room (PDR) reference staff at 1-800-397-4209, 301-415-4737, or by e-mail to [email protected]. Order EA-20-056, issued to This document is scheduled to be published in the Federal Register on 11/24/2020 and available online at federalregister.gov/d/2020-25981 , and on govinfo.gov

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  • [7590-01-P]

    NUCLEAR REGULATORY COMMISSION

    [Docket No. 05000170; NRC-2020-0258]

    In the Matter of Armed Forces Radiobiology Research Institute

    AGENCY: Nuclear Regulatory Commission.

    ACTION: Confirmatory order; issuance.

    SUMMARY: The U.S. Nuclear Regulatory Commission (NRC) is issuing an Order

    confirming commitments agreed upon during an Alternate Dispute Resolution mediation

    session with the Armed Forces Radiobiology Research Institute (AFRRI). The NRC

    determined that an apparent violation of NRC regulations, occurred as identified during

    an investigation completed on February 27, 2020, by the NRC’s Office of Investigations.

    The Order is effective on the date of issuance.

    DATES: The Confirmatory Order became effective on November 19, 2020.

    ADDRESSES: Please refer to Docket ID NRC-2020-0258 when contacting the NRC

    about the availability of information regarding this document. You may obtain publicly

    available information related to this document using any of the following methods:

    Federal Rulemaking Web Site: Go to https://www.regulations.gov and

    search for Docket ID NRC-2020-0258. Address questions about Docket IDs in

    Regulations.gov to Jennifer Borges; telephone: 301-287-9127; e-mail:

    [email protected]. For technical questions, contact the individual listed in the

    FOR FURTHER INFORMATION CONTACT section of this document.

    NRC’s Agencywide Documents Access and Management System

    (ADAMS): You may obtain publicly available documents online in the ADAMS Public

    Documents collection at https://www.nrc.gov/reading-rm/adams.html. To begin the

    search, select “Begin Web-based ADAMS Search.” For problems with ADAMS, please

    contact the NRC’s Public Document Room (PDR) reference staff at 1-800-397-4209,

    301-415-4737, or by e-mail to [email protected]. Order EA-20-056, issued to

    This document is scheduled to be published in theFederal Register on 11/24/2020 and available online atfederalregister.gov/d/2020-25981, and on govinfo.gov

  • AFRRI on November 19, 2020, is available in ADAMS under Accession No.

    ML20303A211.

    Attention: The PDR, where you may examine and order copies of public

    documents is currently closed. You may submit your request to the PDR via e-mail at

    [email protected] or call 1-800-397-4209 between 8:00 a.m. and 4:00 p.m.

    (EST), Monday through Friday, except Federal holidays.

    FOR FURTHER INFORMATION CONTACT: Nicole Coleman, Office of Enforcement,

    U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001; telephone: 301-

    287-9007, email: [email protected].

    SUPPLEMENTARY INFORMATION: The text of the Order is attached.

    Dated: November 19, 2020.

    For the Nuclear Regulatory Commission.

    George A. Wilson, Director, Office of Enforcement.

    ATTACHED – Confirmatory Order.

  • UNITED STATES OF AMERICANUCLEAR REGULATORY COMMISSION

    In the Matter of ) Docket No.: 05000170 ) License No.: R-84Armed Forces Radiobiology Research Institute )Bethesda, Maryland ) EA-20-056

    CONFIRMATORY ORDER MODIFYING LICENSEEFFECTIVE UPON ISSUANCE

    I

    Armed Forces Radiobiology Research Institute (AFRRI or Licensee) is the holder

    of License No. R-84, issued by the U. S. Nuclear Regulatory Commission (NRC or

    Commission) pursuant to Part 50 of Title 10 of the Code of Federal Regulations (10

    CFR). The license authorizes the operation of AFRRI Research Reactor (facility) in

    accordance with conditions specified therein. The facility is located on the Licensee’s

    site in Bethesda, Maryland.

    This Confirmatory Order (CO) is the result of an agreement reached during an

    Alternative Dispute Resolution (ADR) mediation session conducted on September 18,

    2020, to address an apparent violation.

    II

    On February 27, 2020, the NRC’s Office of Investigations (OI), issued a report (1-

    2019-003) related to AFRRI. Based on the evidence developed during its investigation,

    the NRC identified an apparent violation of 10 CFR § 50.7, “Employee protection.” The

    NRC determined that AFRRI placed an AFRRI employee on a 2-day suspension without

    pay on May 14, 2018, in part, for engaging in protected activity. By letter dated June 8,

    2020, the NRC notified AFRRI of the results of the investigation with an opportunity to

    (1) attend a pre-decisional enforcement conference or (2) to participate in an ADR

    mediation session in an effort to resolve this concern.

  • In response to the NRC’s offer, AFRRI requested the use of the NRC’s ADR

    process to attempt to resolve this issue with the NRC. On September 18, 2020, the

    NRC and AFRRI conducted an ADR session mediated by a professional mediator,

    arranged through Cornell University’s Scheinman Institute on Conflict Resolution. The

    ADR process is one in which a neutral mediator, with no decision-making authority,

    assists the parties in reaching an agreement to resolve any differences regarding the

    dispute. This CO is issued pursuant to the agreement reached during the September

    18, 2020, ADR session.

    III

    During the ADR session, AFRRI and the NRC reached a preliminary settlement

    agreement. The elements of the agreement included (1) corrective actions that AFRRI

    has already completed to improve the nuclear safety culture and safety conscious work

    environment (SCWE) at the facility (provided to the NRC during the September 18,

    2020, ADR session), (2) agreed upon future actions, and (3) general provisions.

    Previously Completed Corrective Actions:

    1. Conducted industry-led AFRRI leadership SCWE training.

    2. Conducted three industry-led AFRRI employee SCWE training sessions.

    3. Established a SCWE Working Group to ensure employee involvement and

    capture employee insights during the development of the AFRRI SCWE program.

    4. Appointed a Safety Culture Program Officer.

    5. Issued an email communication from the AFRRI Director to all AFRRI staff

    encouraging participation in the SCWE training and the command climate survey

    by the Uniformed Services University (USU) Brigade leadership.

    6. Issued a message from the newly appointed Safety Culture Program Officer to all

    AFRRI staff emphasizing leadership’s focus on safety and mechanisms for

    reporting concerns.

  • 7. Participated in monthly National Organization of Test, Research, and Training

    Reactors (TRTR) calls, and registered several AFRRI staff for the upcoming

    annual conference.

    8. Solicited feedback from AFRRI staff regarding the ongoing command climate

    survey to serve as a baseline for future safety improvement metrics.

    Agreed Upon Future Actions:

    A. Communication

    1. Within 60 calendar days of issuance of the CO, the Uniformed Services

    University (USU) President shall issue a written statement, communicating

    the specific strategy to improve AFRRI’s nuclear safety culture.

    a. The communication is to include (1) a brief summary regarding the

    employee protection regulations, (2) the NRC’s concerns expressed in

    its March 2020 chilling effect letter, (3) specific lessons learned from

    previously applied corrective actions, and (4) corrective actions both

    taken and planned.

    b. USU shall provide a copy of this communication to the NRC for prior

    review.

    c. NRC shall provide comments within 1 week of receipt of the draft

    communication.

    2. Within 90 calendar days of the USU President’s statement, AFRRI shall hold

    an all-hands meeting for management to discuss the importance of the

    above communication with AFRRI employees.

    a. AFRRI shall conduct the all-hands meeting on multiple levels of

    management (i.e., Director level, Department head) with current

    employees. AFRRI employees must attend at least one of the all-

    hands meetings.

    b. AFRRI shall require participants to sign in, confirming their

  • attendance. Employees unable to attend an in-person/virtual meeting

    shall complete a “Read and Sign” training.

    c. Future employees shall complete a “Read and Sign” training.

    B. Safety Culture and Safety Conscious Work Environment

    1. Within 150 calendar days of issuance of the CO, AFRRI shall ensure its

    nuclear safety culture policy, guidance and related materials are in place

    and updated.

    a. Ensure a distinct and comprehensive safety culture policy is updated,

    maintained and consistent with the NRC’s March 2011 Safety Culture

    Policy Statement and associated traits.

    b. The safety culture policy shall include specific definitions for key

    safety culture terms, including examples of what constitutes a

    protected activity and safety/security concern(s).

    c. The policy shall incorporate guidance from NUREG 2165, “Safety

    Culture Common Language,” and the industry’s common language

    initiative (i.e., INPO 12-012, Revision 1, April 2013).

    d. Copies of policy statement revisions, guidance and related materials

    shall be provided to the NRC for review at least 60 calendar days prior

    to issuance.

    e. NRC will provide comments to AFRRI within 2 weeks.

    f. Within 45 days of receiving communication that the NRC review is

    complete, AFRRI will either incorporate NRC comments or provide

    acknowledgement of NRC comments and why comments were not

    incorporated.

    g. AFRRI will distribute copies of these documents and materials to

    employees and inform employees where all related materials can be

    located. These materials shall be maintained and provided to all new

  • employees during initial orientation.

    h. AFRRI shall require employees to confirm their receipt of the

    materials by completing a “Read and Sign”.

    2. Within 180 calendar days of issuance of the CO, AFRRI shall establish a

    nuclear SCWE program.

    a. AFRRI shall ensure that the SCWE program is consistent with the

    NRC Safety Conscious Work Environment Policy Statements and

    associated guidance (i.e., the NRC’s May 1996 Safety Conscious

    Work Environment Policy Statement, and the NRC’s Regulatory Issue

    Summary 2005-18, “Guidance for Establishing and Maintaining a

    Safety Conscious Work Environment”).

    b. Initial SCWE Program documents (guidance and related materials)

    shall be provided to the NRC review at least 60 calendar days prior to

    issuance.

    c. Within 2 weeks of receiving the documents, NRC will provide

    comments to AFRRI.

    d. Within 45 days of receiving communication that the NRC review is

    complete, AFRRI will either incorporate NRC comments or provide

    acknowledgement of NRC comments and why comments were not

    incorporated.

    e. AFRRI shall make NRC aware of any revisions to SCWE program

    documents and make the revisions available for NRC review, upon

    request. This requirement is limited to the initial 2 years of program

    establishment.

    f. AFRRI will distribute copies of these documents and materials to

    employees and inform employees where all related materials can be

    located. These materials shall be maintained and provided to all new

    employees during initial orientation.

  • g. AFRRI shall require employees to confirm their receipt of the

    materials by completing a “Read and Sign.”

    h. Within this program, AFRRI shall document the requirements related

    to the Nuclear Safety Culture Program Officer to include the following:

    i. The Safety Culture Program Officer (Program Officer) function

    will report directly to the AFRRI Director.

    ii. The Program Officer shall complete specific training, addressing

    topics such as intake of allegations/safety concerns and trending

    of concerns (e.g., Employee Concerns Program (ECP) basics

    course NAECP’s ECP basics course, or similar training). This

    training shall be completed within 180 days of designation as the

    Program Officer.

    iii. The Program Officer shall assist the AFRRI Director in the

    management and execution of the SCWE program to include the

    intake and processing of reported safety concerns.

    iv. The Program Officer shall review AFRRI communications related

    to safety culture messaging and provide feedback to the AFRRI

    Director.

    v. The Program Officer shall encourage better communication

    between nuclear materials safety and security committees

    associated with AFRRI.

    C. Training

    1. By no later than 180 calendar days after the issuance of the CO, AFRRI shall

    develop and/or revise its employee protection, nuclear safety culture and

    safety conscious work environment training for all AFRRI employees.

    a. Training shall include the following areas:

    i. Case studies of discriminatory practices;

    ii. Definitions of key industry terms/common language;

  • iii. Behavioral expectations with regard to each nuclear safety

    culture traits;

    iv. Expectations for demonstrating support for raising nuclear safety

    concerns and all available avenues without fear of retaliation; and

    v. A statement that all employees have the right to raise nuclear

    safety concerns to USU/AFRRI, the NRC and Congress, or

    engage in any other type of protected activity without fear of

    being subject to disciplinary action or retaliation, as well as,

    provide a list of available reporting avenues.

    2. Supervisory Training: In addition to the content areas described within

    paragraph C.1 above, supervisory training shall also include expectations

    specific to the role of management and include specific discussion on how to

    (1) effectively manage safety concerns and (2) ensure employees feel

    comfortable raising concerns.

    a. If AFRRI conducts the initial training, the training will be performed

    by AFFRI employees trained by the team who developed the training

    at AFRRI or the organization who developed the program.

    b. The supervisory training shall be completed within 180 calendar

    days after the issuance of the CO.

    c.Refresher training:

    i. Shall be primarily instructor led and be provided at least every 2

    years for a period of 4 years. This training may be provided by

    AFRRI staff.

    ii. Thereafter, refresher training may be computer-based and shall

    be provided annually.

    d. AFRRI shall conduct instructor-led training for any new

    supervisors hired after the initial training conducted as described in

    paragraphs 1 and 2 above, as part of the supervisor’s initial training.

  • e. Training records shall be retained for 4 years after the completion

    of applicable training and made available to the NRC upon request.

    f. All training material shall be available to the NRC upon request.

    3. Employee (Non-Supervisory) Training: Initial training, developed in paragraph

    C.1 above, shall be conducted by AFRRI employees trained by the team who

    developed the training at AFRRI.

    a. All employee training shall commence within 180 calendar days after

    the issuance of the CO.

    b. All training must be completed within 330 calendar days of the

    issuance of the CO.

    c. Refresher training may be computer-based and shall be provided

    annually.

    d. Training will primarily be instructor-led for new employees as part of

    their orientation program/process.

    e. Training records shall be retained for 4 years after the completion of

    applicable training and made available to the NRC upon request.

    f. All training material shall be available to the NRC upon request.

    4. This training is applicable to all AFRRI employees and management who are

    engaged in work associated with NRC-regulated activities.

    5. AFRRI shall provide all training materials to the NRC for review at least 60

    calendar days prior to conducting training.

    a. NRC will provide comments to AFRRI within 2 weeks of receipt.

    b. Within 45 days of receiving communication that the NRC review is

    complete, AFRRI will either incorporate NRC comments or provide

    acknowledgement of NRC comments and why comments were not

    incorporated.

    D. Assess and Monitor Nuclear Safety Culture and Safety Conscious Work

  • Environment

    1. By no later than 18 months after the issuance of the CO, AFRRI shall hire a

    third-party independent organization and complete a tailored comprehensive

    nuclear safety culture assessment to ensure the effectiveness of the nuclear

    safety culture and SCWE programs.

    a. The assessment will evaluate all program components, including

    insights from employee surveys, anonymous reports, interviews and

    the conduct of focus groups to assess effectiveness of the programs.

    b. AFRRI shall conduct the initial assessment within 1 year of the

    establishment of the SCWE program.

    c. AFRRI must address and implement corrective actions as a result of

    the assessment report.

    2. A follow-up assessment shall be conducted within 2 years after the initial

    assessment. The follow-up assessment shall be comparable to the initial

    assessment to allow for effective evaluation of trends. This assessment does

    not require the use of a third-party organization.

    3. AFRRI shall make available to the NRC, upon request, the results of the

    assessments, surveys, AFRRI’s analysis of the trends, results and proposed

    corrective actions (if any) AFRRI will take to address the results in order to

    verify that a healthy nuclear safety culture and SCWE exists at AFRRI.

    E. Independent Third-Party Organization

    1. Within 120 calendar days of the issuance of the CO, AFRRI will hire a third-

    party, independent organization to assist AFRRI with updates to its nuclear

    safety culture policy and the establishment of its safety conscious work

    environment program and associated tasks, as described within the CO.

    AFRRI may utilize the same organization as described in paragraph D above.

    a. The third-party organization shall be unrelated to the proceedings at

  • issue and experienced within NRC employee protection regulations,

    Section 211 of the Energy Reorganization Act, as amended, and

    nuclear safety culture and SCWE policies/programs.

    b. AFRRI shall ensure they receive assistance from the third-party

    organization for the following tasks:

    i. Initial revisions/updates to AFRRI’s nuclear safety culture

    policy, as AFRRI ensures consistency with NRC and industry

    guidance;

    ii. Establishment of AFRRI’s SCWE program; and

    iii. Development and conduct of AFRRI’s initial Nuclear Safety

    Culture and SCWE program assessment.

    c. AFRRI will ensure the organization is provided with all materials to

    comprehensively assist AFRRI, including NRC inspection reports

    associated with AFRRI’s SCWE and the March 2020 CEL.

    F. Work Process

    1. Within 270 calendar days of the issuance of the CO, AFRRI will develop a

    program for AFRRI employees to raise concerns.

    a. The program shall include the following:

    i. An electronic, telephonic, or physical reporting mechanism for

    AFRRI employees to submit safety concerns. This

    mechanism shall allow for both standard and anonymous

    submission capability.

    ii. A means to evaluate information collected through the

    reporting mechanisms available, in order to analyze the data

    over time, related to AFRRI’s nuclear safety culture.

    iii. A means to ensure AFRRI’s nuclear safety culture and SCWE

    policies, and associated guidance/materials, are readily

    accessible for employee viewing.

  • iv. The opportunity for departing AFRRI employees to participate

    in an exit interview/survey to facilitate identification of nuclear

    safety issues, resulting trends and conclusions.

    General Provisions

    1. As part of its deliberations and consistent with the philosophy of the

    Enforcement Policy, Section 3.3, “Violations Identified Because of Previous

    Enforcement Action,” the NRC will consider enforcement discretion for

    violations of the NRC Employee Protection Rules that occurred prior to or

    during implementation of the corrective actions aimed at correcting that

    specific condition as specified in the CO.

    2. The NRC will not cite a violation or issue a civil penalty in connection with the

    NRC’s June 8, 2020, letter to AFRRI.

    3. This CO will not count as escalated enforcement in the civil penalty

    assessment process for future cases, as long as the future action is not

    related to the NRC Employee Protection Rule.

    4. The Director, Office of Enforcement, may, in writing, relax or rescind any of

    the above conditions upon demonstration by AFRRI of good cause.

    5. The NRC agrees not to pursue any further enforcement action in connection

    with the NRC’s June 8, 2020, letter to AFRRI.

    6. In the event of the transfer of the operating license of AFRRI to another

    entity, the terms and conditions set forth hereunder shall continue to apply to

    AFRRI and accordingly survive any transfer of ownership or license.

    On November 10, 2020, AFRRI consented to issuing this CO with the

    commitments, as described in Section V below. AFRRI further agreed that this CO is to

    be effective upon issuance, that the agreement memorialized in this CO settles the

    matter between the parties, and that it has waived its right to a hearing.

  • IV

    I find that AFRRI’s completed actions, as described in Section III above,

    combined with the commitments as set forth in Section V, are acceptable and necessary

    and conclude that with these commitments the public health and safety are reasonably

    assured. In view of the foregoing, I have determined that public health and safety

    require that AFRRI’s commitments be confirmed by this CO. Based on the above and

    AFRRI’s consent, this CO is effective upon issuance.

    V

    Accordingly, pursuant to Sections 104c, 161b, 161i, 161o, 182, and 186 of the

    Atomic Energy Act of 1954, as amended, and the Commission’s regulations in 10 CFR

    2.202 and 10 CFR Part 50, IT IS HEREBY ORDERED, EFFECTIVE UPON ISSUANCE,

    THAT License No. R-84 IS MODIFIED AS FOLLOWS:

    A. Communication

    1. Within 60 calendar days of issuance of the Confirmatory Order (CO), the

    Uniformed Services University (USU) President shall issue a written

    statement communicating the specific strategy to improve AFRRI’s nuclear

    safety culture.

    a. The communication is to include (1) a brief summary regarding the

    employee protection regulations, (2) the NRC’s concerns expressed in

    its March 18, 2020, chilling effect letter, (3) specific lessons learned

    from previously applied corrective actions, and (4) corrective actions

    both taken and planned.

    b. USU shall provide a copy of this communication to the NRC for prior

    review.

  • c. NRC shall provide comments within 1 week of receipt of the draft

    communication.

    2. Within 90 calendar days of the USU President’s statement, AFRRI shall hold

    all-hands meetings for management to discuss the importance of the

    communication, described within Section A.1 above, with AFRRI employees.

    a. AFRRI shall conduct the all-hands meetings on multiple levels of

    management (i.e., AFRRI Director, Department Heads), with current

    employees. AFRRI employees must attend at least one of the all-

    hands meetings.

    b. AFRRI shall require participants to sign-in, confirming their

    attendance. Employees unable to attend an in-person/virtual meeting,

    shall confirm their receipt of the communication by completing a

    “Read and Sign.”

    c. Future AFRRI employees shall complete this requirement via a “Read

    and Sign.”

    B. Safety Culture and Safety Conscious Work Environment

    1. Within 150 calendar days of issuance of the CO, AFRRI shall ensure its

    nuclear safety culture policy (NSC Policy), guidance, and related materials

    are in place and updated.

    a. Ensure a distinct and comprehensive NSC Policy is updated,

    maintained, and consistent with the NRC’s June 14, 2011, Safety

    Culture Policy Statement and associated traits.

    b. The NSC Policy shall include specific definitions for key safety culture

    terms, including examples of what constitutes a protected activity and

    safety/security concern(s).

    c. The NSC Policy shall incorporate guidance from NUREG-2165,

    “Safety Culture Common Language” and the industry’s common

  • language initiative (i.e., INPO 12-012, Revision 1, April 2013).

    d. Copies of NSC Policy, guidance, and related materials shall be

    provided to the NRC for review at least 60 calendar days prior to

    issuance.

    e. NRC will provide comments to AFRRI within 2 weeks of receipt of the

    document(s)/material(s).

    f. Within 45 days of receiving communication that NRC’s review is

    complete, AFRRI will either incorporate NRC’s comments or provide

    acknowledgement of NRC’s comments and state why NRC’s

    comments were not incorporated.

    g. AFRRI will distribute copies of the NSC Policy, guidance, and related

    materials to AFRRI employees and inform AFRRI employees how to

    access the documents and materials. These materials shall be

    maintained and provided to all new AFRRI employees during initial

    employee orientation.

    h. AFRRI shall require both current and new AFRRI employees to

    confirm their receipt of the NSC Policy, guidance, and related

    materials by completing a “Read and Sign.”

    2. Within 180 calendar days of issuance of the CO, AFRRI shall establish a

    nuclear safety conscious work environment (SCWE) program.

    a. AFRRI shall ensure that the SCWE program is consistent with the

    NRC Safety Conscious Work Environment Policy Statement and

    associated guidance (i.e., NRC’s May 14, 1996, policy statement

    “Freedom of Employees in the Nuclear Industry to Raise Safety

    Concerns Without Fear of Retaliation,” and the NRC’s Regulatory

    Issue Summary 2005-18, “Guidance for Establishing and Maintaining

    a Safety Conscious Work Environment”).

    b. Initial SCWE program documents (guidance and related materials)

  • shall be provided to the NRC review at 60 calendar days prior to

    issuance.

    c. NRC will provide comments to AFRRI, within 2 weeks of receipt of the

    documents.

    d. Within 45 days of receiving communication that NRC’s review is

    complete, AFRRI will either incorporate NRC’s comments or provide

    acknowledgement of NRC’s comments and state why NRC’s

    comments were not incorporated.

    e. For a period of 2 years following the establishment of the SCWE

    program, AFRRI shall inform NRC of any pending major revisions to

    AFRRI’s SCWE program documents and make the revisions available

    for NRC review upon request. Major revisions, for the purpose of this

    CO condition, are considered to be, but not limited to,

    removal/addition of any program element (i.e., avenues to report

    safety concerns, program trending and analysis standards, etc.).

    f. AFRRI will distribute copies of the SCWE program documents and

    materials to AFRRI employees and inform AFRRI employees how to

    access the documents and materials. These materials shall be

    maintained and provided to all new AFRRI employees during initial

    employee orientation.

    g. AFRRI shall require both current and future AFRRI employees to

    confirm their receipt of the materials by completing a “Read and Sign.”

    h. Within the SCWE program, AFRRI shall document the requirements

    related to the Safety Culture Program Officer (Program Officer) to

    include the following:

    i. The Program Officer function will report directly to the AFRRI

    Director.

    ii. The Program Officer shall complete specific training addressing

  • topics such as intake of allegations/safety concerns and trending

    of concerns (e.g., National Association of Employee Concerns

    Professionals’ (NAECP’s) Employee Concerns Program basics

    course, or similar training). This training shall be completed

    within 180 days of designation as the Program Officer.

    iii. The Program Officer shall assist the AFRRI Director in

    management and execution of the SCWE program to include the

    intake and processing of reported safety concerns.

    iv. The Program Officer shall review AFRRI communications related

    to safety culture messaging and provide feedback.

    v. The Program Officer shall encourage better communication

    between nuclear materials safety and security committees

    associated with AFRRI.

    C. Training

    1. Within 210 calendar days of issuance of the CO, AFRRI shall develop and/or

    revise its employee protection, nuclear safety culture and safety conscious

    work environment training for all AFRRI employees and supervisors.

    a. Training shall include the following:

    i. Case studies of discriminatory practices;

    ii. Definitions of key industry terms/common language;

    iii. Behavioral expectations with regard to each nuclear safety

    culture trait as defined in NRC’s June 14, 2011, Safety Culture

    Policy Statement;

    iv. Expectations for demonstrating support for raising nuclear safety

    concerns without fear of retaliation; and

    v. A statement that all employees have the right to raise nuclear

    safety concerns to USU/AFRRI, the NRC and Congress, or

    engage in any other type of protected activity without being

  • subject to disciplinary action or retaliation, as well as, providing a

    list of available reporting avenues.

    2. Supervisory Training: In addition to the content areas described within

    paragraph C.1.a above, supervisory training shall also include expectations

    specific to the role of management and include discussion on (1) effectively

    managing safety concerns and (2) ensuring employees feel comfortable

    raising concerns.

    a. The supervisory training shall be conducted by either the

    independent third-party organization hired to assist AFRRI, as

    described in paragraph E below, or AFFRI employees trained by

    the independent third-party organization.

    b. The initial supervisory training shall be completed within

    210 calendar days after the issuance of the CO.

    c.Refresher supervisory training:

    i. Initial refresher training sessions shall be primarily instructor-led

    and shall be provided to all supervisors at least every 2 years for

    a period of 4 years from the issuance of the CO. This training

    may be provided by AFRRI staff.

    ii. Thereafter, refresher training may be computer-based and shall

    be provided to all supervisors annually.

    d. AFRRI shall conduct instructor-led training for any new

    supervisors hired after the initial training, described in paragraphs

    C.1 and C.2.b, as part of the supervisor’s initial training.

    e. Training records shall be retained for 4 years after the

    completion of applicable training and made available to the NRC

    upon request.

    f. All training material shall be made available to the NRC upon

    request.

  • 3. Employee (Non-Supervisory) Training: The initial AFRRI employee training

    described in paragraph C.1 above shall be conducted by AFRRI employees

    trained by the team who developed the training.

    a. The initial AFRRI employee training shall be primarily instructor-led

    and all AFRRI employee training shall commence within 180 calendar

    days after the issuance of the CO.

    b. All initial AFRRI employee training must be completed within 330

    calendar days of the issuance of the CO.

    c. Refresher employee training may be computer-based and shall be

    provided to all AFRRI employees annually.

    d. AFRRI shall conduct instructor-led training for any new AFRRI

    employee hired after the initial training, described in paragraphs C.1

    and C.3.a, as part of the employee’s orientation program/process.

    e. Training records shall be retained for 4 years after the completion of

    applicable training and made available to the NRC upon request.

    f. All training material shall be made available to the NRC upon request.

    4. The training described in paragraphs C.1, C.2 and C.3 is applicable to all

    AFRRI employees and management who are engaged in work associated

    with NRC-regulated activities.

    5. AFRRI shall provide all initial training materials to the NRC for review at least

    60 calendar days prior to conducting training.

    6. NRC will provide comments to AFRRI within 2 weeks of receipt of the

    documents.

    7. Within 45 days of receiving communication that NRC’s review is complete,

    AFRRI will either incorporate NRC’s comments or provide acknowledgement

    of NRC’s comments and state why NRC’s comments were not incorporated.

    D. Assess and Monitor Nuclear Safety Culture and Safety Conscious Work

  • Environment

    1. By no later than 18 months after the issuance of the CO, AFRRI shall hire an

    independent third-party organization and complete a tailored, comprehensive

    nuclear safety culture assessment.

    a. The assessment will evaluate all program components, including

    insights from employee surveys, anonymous reports, interviews and

    the conduct of focus groups to assess effectiveness of the program.

    b. AFRRI shall conduct the initial assessment within 1 year of the

    establishment of the SCWE program and the assessment must result

    in a comprehensive report.

    c. AFRRI must address and implement corrective actions as a result of

    the assessment report.

    2. A follow-up assessment shall be conducted within 2 years after the initial

    assessment. The follow-up assessment shall be comparable to the initial

    assessment, described in paragraph D.1, to allow for effective evaluation of

    trends. This follow-up assessment does not require the use of an

    independent third-party organization.

    3. AFRRI shall make available to the NRC, upon request, the results of the

    initial and follow-up assessments (including surveys and AFRRI’s analysis of

    trends) and the proposed corrective actions (if any) AFRRI will take to

    address the results, in order for the NRC to verify that a healthy nuclear

    safety culture and SCWE exist at AFRRI.

    E. Independent Third-Party Organization

    1. Within 120 calendar days of the issuance of the CO, AFRRI will hire an

    independent third-party organization to assist AFRRI with updates to its NSC

    Policy and the establishment of its SCWE program and associated tasks, as

    described within the CO. AFRRI may utilize the same organization as

  • described in paragraph D above.

    a. The independent third-party organization shall be unrelated to the

    proceedings at issue and experienced within NRC employee

    protection regulations, Section 211 of the Energy Reorganization Act,

    as amended, and nuclear safety culture and SCWE

    policies/programs.

    b. AFRRI shall receive assistance from the independent third-party

    organization for the following tasks:

    i. Initial revisions/updates to AFRRI’s NSC Policy, as AFRRI

    ensures consistency with NRC and industry guidance, as

    described in paragraph B.1;

    ii. Establishment of AFRRI’s SCWE program, as described in

    paragraph B.2; and

    iii. Development and implementation of AFRRI’s initial Nuclear

    Safety Culture and SCWE program assessment, as described

    in paragraph D.1.

    c. AFRRI will ensure that the independent third-party organization is

    provided all materials to comprehensively assist AFRRI, including

    NRC inspection reports associated with AFRRI’s SCWE and the

    March18, 2020, Chilling Effect Letter.

    F. Work Process

    1. Within 270 calendar days of the issuance of the CO, AFRRI will develop a

    program for AFRRI employees to raise nuclear safety and security

    concerns.

    a. The program shall include the following:

    i. An electronic, telephonic or physical reporting mechanism for

    AFRRI employees to submit nuclear safety or security

    concerns. This mechanism shall allow for both standard and

  • anonymous submission capability.

    ii. A means to evaluate information collected through the

    available reporting mechanisms in order to analyze the data

    related to AFRRI’s nuclear safety culture over time.

    iii. A means to ensure AFRRI’s NSC Policy, SCWE program, and

    associated guidance/materials are readily accessible for

    employee viewing.

    iv. The opportunity for departing AFRRI employees to participate

    in an exit interview/survey to facilitate identification of nuclear

    safety issues, resulting trends and conclusions.

    In consideration for the actions and/or initiatives that AFRRI agrees to undertake,

    as outlined above, the NRC agrees to the following:

    1. As part of its deliberations and consistent with the philosophy of the

    Enforcement Policy, Section 3.3, “Violations Identified Because of Previous

    Enforcement Action,” the NRC will consider enforcement discretion for

    violations with similar root causes (i.e., associated with the NRC Employee

    Protection Rules) that occur prior to or during implementation of the

    corrective actions aimed at correcting that specific condition as specified in

    the CO.

    2. The NRC will not cite a violation or issue a civil penalty in connection with the

    NRC’s June 8, 2020, letter to AFRRI.

    3. This CO will not count as escalated enforcement in the civil penalty

    assessment process for future cases as long as the future action is not

    related to the NRC Employee Protection Rules.

    4. The NRC agrees not to pursue any further enforcement action in connection

    with the NRC’s June 8, 2020, letter to AFRRI.

  • In the event of the transfer of the operating license of AFRRI to another entity,

    the terms and conditions set forth hereunder shall continue to apply to AFRRI and

    accordingly survive any transfer of ownership or license.

    The Director, Office of Enforcement may, in writing, relax or rescind any of the

    above conditions upon demonstration by AFRRI of good cause.

    VI

    In accordance with 10 CFR 2.202 and 10 CFR 2.309, any person adversely

    affected by this Confirmatory Order, other than AFRRI, may request a hearing within 30

    calendar days of the date of issuance of this Confirmatory Order. Where good cause is

    shown, consideration will be given to extending the time to request a hearing. A request

    for extension of time must be made in writing to the Director, Office of Enforcement, U.S.

    Nuclear Regulatory Commission, Washington, DC 20555, and include a statement of

    good cause for the extension.

    All documents filed in NRC adjudicatory proceedings, including a request for

    hearing and petition for leave to intervene (petition), any motion or other document filed

    in the proceeding prior to the submission of a request for hearing or petition to intervene,

    and documents filed by interested governmental entities that request to participate under

    10 CFR 2.315(c), must be filed in accordance with the NRC’s E-Filing rule

    (72 FR 49139; August 28, 2007, as amended at 77 FR 46562; August 3, 2012). The

    E-Filing process requires participants to submit and serve all adjudicatory documents

    over the internet, or in some cases to mail copies on electronic storage media. Detailed

    guidance on making electronic submissions may be found in the Guidance for Electronic

    Submissions to the NRC and on the NRC Web site at https://www.nrc.gov/site-help/e-

  • submittals.html. Participants may not submit paper copies of their filings unless they

    seek an exemption in accordance with the procedures described below.

    To comply with the procedural requirements of E-Filing, at least 10 days prior to

    the filing deadline, the participant should contact the Office of the Secretary by e-mail at

    [email protected], or by telephone at 301-415-1677, to (1) request a digital

    identification (ID) certificate, which allows the participant (or its counsel or

    representative) to digitally sign submissions and access the E-Filing system for any

    proceeding in which it is participating; and (2) advise the Secretary that the participant

    will be submitting a petition or other adjudicatory document (even in instances in which

    the participant, or its counsel or representative, already holds an NRC-issued digital ID

    certificate). Based upon this information, the Secretary will establish an electronic

    docket for the hearing in this proceeding if the Secretary has not already established an

    electronic docket.

    Information about applying for a digital ID certificate is available on the NRC’s

    public Web site at https://www.nrc.gov/site-help/e-submittals/getting-started.html. Once

    a participant has obtained a digital ID certificate and a docket has been created, the

    participant can then submit adjudicatory documents. Submissions must be in Portable

    Document Format (PDF). Additional guidance on PDF submissions is available on the

    NRC’s public Web site at https://www.nrc.gov/site-help/electronic-sub-ref-mat.html. A

    filing is considered complete at the time the document is submitted through the NRC’s

    E-Filing system. To be timely, an electronic filing must be submitted to the E-Filing

    system no later than 11:59 p.m. Eastern Time on the due date. Upon receipt of a

    transmission, the E-Filing system time-stamps the document and sends the submitter an

    e-mail notice confirming receipt of the document. The E-Filing system also distributes

    an e-mail notice that provides access to the document to the NRC’s Office of the

    General Counsel and any others who have advised the Office of the Secretary that they

  • wish to participate in the proceeding, so that the filer need not serve the document on

    those participants separately. Therefore, applicants and other participants (or their

    counsel or representative) must apply for and receive a digital ID certificate before

    adjudicatory documents are filed so that they can obtain access to the documents via

    the E-Filing system.

    A person filing electronically using the NRC’s adjudicatory E-Filing system may

    seek assistance by contacting the NRC’s Electronic Filing Help Desk through the

    “Contact Us” link located on the NRC’s public Web site at https://www.nrc.gov/site-

    help/e-submittals.html, by e-mail to [email protected], or by a toll-free call at

    1-866-672-7640. The NRC Electronic Filing Help Desk is available between 9 a.m. and

    6 p.m., Eastern Time, Monday through Friday, excluding government holidays.

    Participants who believe that they have a good cause for not submitting

    documents electronically must file an exemption request, in accordance with 10 CFR

    2.302(g), with their initial paper filing stating why there is good cause for not filing

    electronically and requesting authorization to continue to submit documents in paper

    format. Such filings must be submitted by (1) first class mail addressed to the Office of

    the Secretary of the Commission, U.S. Nuclear Regulatory Commission, Washington,

    DC 20555-0001, Attention: Rulemaking and Adjudications Staff; or (2) courier, express

    mail, or expedited delivery service to the Office of the Secretary, 11555 Rockville Pike,

    Rockville, Maryland 20852, Attention: Rulemaking and Adjudications Staff. Participants

    filing adjudicatory documents in this manner are responsible for serving the document on

    all other participants. Filing is considered complete by first-class mail as of the time of

    deposit in the mail, or by courier, express mail, or expedited delivery service upon

    depositing the document with the provider of the service. A presiding officer, having

    granted an exemption request from using E-Filing, may require a participant or party to

    use E-Filing if the presiding officer subsequently determines that the reason for granting

  • the exemption from use of E-Filing no longer exists.

    Documents submitted in adjudicatory proceedings will appear in the NRC’s

    electronic hearing docket which is available to the public at https://adams.nrc.gov/ehd,

    unless excluded pursuant to an order of the Commission or the presiding officer. If you

    do not have an NRC-issued digital ID certificate as described above, click “cancel” when

    the link requests certificates and you will be automatically directed to the NRC’s

    electronic hearing dockets where you will be able to access any publicly available

    documents in a particular hearing docket. Participants are requested not to include

    personal privacy information, such as social security numbers, home addresses, or

    personal phone numbers in their filings, unless an NRC regulation or other law requires

    submission of such information. For example, in some instances, individuals provide

    home addresses in order to demonstrate proximity to a facility or site. With respect to

    copyrighted works, except for limited excerpts that serve the purpose of the adjudicatory

    filings and would constitute a Fair Use application, participants are requested not to

    include copyrighted materials in their submission.

    The Commission will issue a notice or order granting or denying a hearing

    request or intervention petition, designating the issues for any hearing that will be held

    and designating the Presiding Officer. A notice granting a hearing will be published in

    the Federal Register and served on the parties to the hearing.

    If a person (other than AFRRI) requests a hearing, that person shall set forth with

    particularity the manner in which his interest is adversely affected by this Confirmatory

    Order and shall address the criteria set forth in 10 CFR 2.309(d) and (f).

    If a hearing is requested by a person whose interest is adversely affected, the

    Commission will issue an order designating the time and place of any hearings. If a

  • hearing is held, the issue to be considered at such hearing shall be whether this

    Confirmatory Order should be sustained.

    In the absence of any request for hearing, or written approval of an extension of

    time in which to request a hearing, the provisions specified in Section V above shall be

    final 30 days from the date of this Confirmatory Order without further order or

    proceedings. If an extension of time for requesting a hearing has been approved, the

    provisions specified in Section V shall be final when the extension expires if a hearing

    request has not been received.

    For the Nuclear Regulatory Commission

    Dated this 19th day of November 2020.

    George A. Wilson, DirectorOffice of Enforcement

    [FR Doc. 2020-25981 Filed: 11/23/2020 8:45 am; Publication Date: 11/24/2020]